Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation

Cholestatic liver diseases can be induced for many reasons including obstructions, e.g. by stones or tumors. An early consequence of obstructive cholestasis is the formation of bile infarcts, which refer to clusters of dead hepatocytes due to bile salt accumulation. Although these infarcts were desc...

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Autores principales: Reham Hassan, Abdel-latif Seddek, hmed Ghallab
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Publicado: South Valley University 2018
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spelling oai:doaj.org-article:ee9c5c56d04746e386499522c73970232021-12-02T09:54:34ZPathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation10.21608/svu.2018.221622535-18262535-1877https://doaj.org/article/ee9c5c56d04746e386499522c73970232018-12-01T00:00:00Zhttps://svu.journals.ekb.eg/article_22162.htmlhttps://doaj.org/toc/2535-1826https://doaj.org/toc/2535-1877Cholestatic liver diseases can be induced for many reasons including obstructions, e.g. by stones or tumors. An early consequence of obstructive cholestasis is the formation of bile infarcts, which refer to clusters of dead hepatocytes due to bile salt accumulation. Although these infarcts were described long time ago (in 1876 by Charcot and Gombault), the leading mechanism is still unclear. Some hypotheses suggested direct killing by accumulation of bile salts up to toxic levels. Others claim indirect cell death via immune cell infiltration and inflammatory cytokine release. However, the sequence of events leading to the formation bile infarcts are still unclear. In the recent issue of Hepatology, Ghallab and his colleagues have recorded in a time-resolved manner the key events leading to bile infarct formation and the subsequent systemic changes, using two-photon based intravital imaging. This mini-review highlights the results of this study and discuss the time-resolved events in acute and chronic cholestasis, as well as the link between biliary bile salts and hepatocyte death. Reham HassanAbdel-latif Seddekhmed GhallabSouth Valley UniversityarticleCholestasisintravital imagingbile canaliculibile salt toxicitybile leakagebile duct ligation.AgricultureSVeterinary medicineSF600-1100ENSVU-International Journal of Veterinary Sciences, Vol 1, Iss 2, Pp 95-105 (2018)
institution DOAJ
collection DOAJ
language EN
topic Cholestasis
intravital imaging
bile canaliculi
bile salt toxicity
bile leakage
bile duct ligation.
Agriculture
S
Veterinary medicine
SF600-1100
spellingShingle Cholestasis
intravital imaging
bile canaliculi
bile salt toxicity
bile leakage
bile duct ligation.
Agriculture
S
Veterinary medicine
SF600-1100
Reham Hassan
Abdel-latif Seddek
hmed Ghallab
Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation
description Cholestatic liver diseases can be induced for many reasons including obstructions, e.g. by stones or tumors. An early consequence of obstructive cholestasis is the formation of bile infarcts, which refer to clusters of dead hepatocytes due to bile salt accumulation. Although these infarcts were described long time ago (in 1876 by Charcot and Gombault), the leading mechanism is still unclear. Some hypotheses suggested direct killing by accumulation of bile salts up to toxic levels. Others claim indirect cell death via immune cell infiltration and inflammatory cytokine release. However, the sequence of events leading to the formation bile infarcts are still unclear. In the recent issue of Hepatology, Ghallab and his colleagues have recorded in a time-resolved manner the key events leading to bile infarct formation and the subsequent systemic changes, using two-photon based intravital imaging. This mini-review highlights the results of this study and discuss the time-resolved events in acute and chronic cholestasis, as well as the link between biliary bile salts and hepatocyte death.
format article
author Reham Hassan
Abdel-latif Seddek
hmed Ghallab
author_facet Reham Hassan
Abdel-latif Seddek
hmed Ghallab
author_sort Reham Hassan
title Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation
title_short Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation
title_full Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation
title_fullStr Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation
title_full_unstemmed Pathophysiology of Cholestatic Liver Diseases: New Insights into the Mechanisms of Bile Infarct Formation
title_sort pathophysiology of cholestatic liver diseases: new insights into the mechanisms of bile infarct formation
publisher South Valley University
publishDate 2018
url https://doaj.org/article/ee9c5c56d04746e386499522c7397023
work_keys_str_mv AT rehamhassan pathophysiologyofcholestaticliverdiseasesnewinsightsintothemechanismsofbileinfarctformation
AT abdellatifseddek pathophysiologyofcholestaticliverdiseasesnewinsightsintothemechanismsofbileinfarctformation
AT hmedghallab pathophysiologyofcholestaticliverdiseasesnewinsightsintothemechanismsofbileinfarctformation
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